The 21st Annual Conference of
International Association of Dynamic Psychotherapy
Application Form
age
Name
M/F
（
） Member
（
） Non-Member
（
） Student
including graduate
student
〒
Contact
address
TEL(&FAX)
E-mail
Name of the
organization
Title
〒
Address of
the
organization
TEL(&FAX)
◆Start-Up Seminar, Special Night Seminar and Training Program (Please number your preference in each
Seminar and Program)
The capacity of each program in the Start-Up Seminar and Special Night Seminar on the first day, and
Training Program on the second day is limited. Please number one to three according to your preference in
each Seminar and Program. We will inform you which program you can attend after the deadline by
e-mail. (We will mail you if you wish)
[First Day: Friday, 6th November]
●Start-Up Seminar 15：50－17：50
Start-Up Seminar「First Step to Dynamic Approach」
Language
The Psychopathology in Hikikomori
1
–
From
the
Viewpoint
of
Dynamic
Approach
J
Ken Ikegami
2
3
Effective Development in Liaison Psychiatric Team
Kiyoka Nozue, Ayako Kaneko, Yasuko Sato
Psychodynamic Understanding and Approach –From the Viewpoint of
J
J
Number your
preference
Nursing Profession –
Keiko Okaya, Michiko Matsueda, Yoko Kawada, Shiori Usami
4
Training of Psychodynamic Group Psychotherapy for Beginners
Yukio No, Yuki Nakamura, Shin-ichi Hirata
Basic
5
Technique
of
Psychodynamic
Interview:
Space
J
Making,
Therapeutic Intervention, and Assessment.
J
Hidefumi Kotani, Kayoko Hige
[First Day: Friday, 6th November]
●Special Night Seminar 18：00－20：00
Special Night Seminar
Language
Number your
preference
Case Seminar for CNS of Psychiatric Nursing
1
(In collaboration with the Field of Psychiatric Nursing, Japanese
Association of Certified Nurse Specialist)
J
Junko Kurihara, Kanami Baba
2
Basic Techniques of Psychotherapy for PTSD
Ralph Mora
E
Psychotherapy for Adolescents
3
-Short Term Intensive Group for Adolescent Creativity
J
Yuki Nakamura, ICU Team: Tsuyoshi Takada, Nanae Kurita
[Second Day: Saturday, 7th November]
●Training Program 9：00－15：00
Language
Training Program
1
Preference
Depression & Helplessness: Tactics & Techniques
E
Ralph Mora
Out-Patient Psychodynamic Group Psychotherapy：Liberation from
2
J
PTSD and Dynamics of Depression
Kazunori Hashimoto, Kayoko Hige
3
“Hello Darkness, My Old Friend”: Working with Adolescent Depression
E
Seth Aronson
Introductory of Constructed Response Method for Interpersonal
4
Number your
Responders
Yukio No
J
Techniques of Pre-Therapy: SMG and SET
J
SMG：Toshinori Hanai, Maya Hashimoto
5
SET：Yuki Nakamura, Kai Ogimoto
Intervening technique of Psychodynamic Psychiatric Nursing
J
–Psychodynamic Nurse Interview to Promote Self Care -
6
Masako Iwakiri, Seitaro Teraoka, Shiori Usami
7
Psychodynamics and Intervening Method of Organization Development
J
Hidefumi Kotani
＊Please consult the headquarters if you need assistance in language.
◆Case Study and Research Presentation
For those who wish to make a research presentation, please check the field in which you want to. We will
send you a basic outline for research presentation by mail or by e-mail. Please send us the abstract of the
presentation by Monday, 31st August. We will notify the result by Friday, 4th September, after the peer
review.
[Second Day: Saturday, 7th November 15：15－16：45]
Case Study and Research Presentation
Check your
preference
1
2
3
4
5
6
7
Psychiatric Nursing Field
Chairs: Satomi Aoki, Mika Fujii
Clinical Practice in Hospital Field
Chairs: Shin-ichi Hirata, Kazuki Shimada
Dynamic Out Reach Services Field
Chairs: Fuyuki Wada, Masayo Uji
Clinical Practice in School / Developmental Field
Chairs: Yoshie Ohashi, Tomoaki Adachi
Student Counseling
Chairs: Yoshiya Ishikawa, Tomotaka Shitara
Clinical Practice in Clinic / Private Practice
Chairs: Junko Ishikawa, Toshinori Hanai
Research
Chairs: Akiko Uematsu, Mikio Hirano
＊No translation is installed. Please consult the headquarters if you need assistance.
◆Reception Party [Second Day: Saturday, 7th November 19：00－21：00]
Please circle below whether you will attend the reception party or not.
Attend / not attend
◆ Case Seminar
For those who wish to make a case presentation, please check the case number you want to. We will send
you a basic outline format for case presentation by mail or by e-mail. Please send us the abstract of the
presentation by Monday, 31st August. We will notify the result by Friday, 4th September, after the peer
review.
[Third Day: Sunday, 8th November
10：30－12：00]
Case Seminar
1
Language
Difficult to Treat
Supervisor: Kazunori Hashimoto
Abuse and PTSD of Children
4
preference
J
J/E
2
3
Check your
Supervisor: Ralph Mora
Adolescent
Supervisor: Seth Aronson
Liaison Psychiatry and Nursing
Supervisor: Nobuko Kawano, Yumiko Ezaki, Shiori Usami
J/E
J
◆For those who want to receive information by mail
We plan to send you information by e-mail from now on. If it is inconvenient for you, please circle below.
We will send you information by mail.
I want information by mail.
◆About Accommodation
You can book a hotel for the 6th and 7th of Nov, for the duration of the conference.
If you would like to book a hotel, please check the information and the expenses below and fill-in your
request in the box.
・Hotel booking will be filled in order of application.
・If the hotel of your choice is already full, we will reserve the other hotel instead.
・We will let you know with your receipt of application.
Your Request Hotel
1 Toyoko Inn Kumamoto Shin-shigai
Date：2 nights from 6th Nov, 2015
Single Room（no smoking）
：30 rooms left（w/breakfast）
Weekday fee：1 night 6,500yen（including tax）
Weekend fee：1 night 7,000yen（including tax）
Hotel HP（English）
：http://www.toyoko-inn.com/e_hotel/00107/index.html
2 HOTEL ROUTE-INN Kumamoto Ekimae
Date：2 nights from 6th Nov, 2015
Single Room（no smoking）
：15 rooms left（w/light breakfast）
Fee: 1 night 6,950yen（including tax）
Hotel HP（English）
：http://www.route-inn.co.jp/en/pref/kumamoto.html#kumamoto-st
The 21st Annual Conference Headquarter Office
International Association of Dynamic Psychotherapy
Department of Mental health and Psychiatric nursing
Graduate School of Life Sciences, Kumamoto University
4-24-1, Kuhonji, Chuo-ku,Kumamoto City, Kumamoto 862-0976 JAPAN
Tel&Fax：096-373-5511
E-mail：miyas@kumamoto-u.ac.jp